HomeMy WebLinkAboutRAP3017 - RAP Permit / Conditions - 12/17/1993 ACCESS PERMIT
Mason Count Road Department Permit Number: 3017
411 North Fif h Road Name : Tee Lake
P.O. BOX 185 Road Number : 76370
Shelton, WA 98584 Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Gerald & Shelley Guttormsen
Hereby Granted To: 14922 Goodrich Drive
Gig Harbor, WA 98329
857-2967
To Install: multi-use
Location: From intersection of Tee Lake Road and common line between Tract D
and Tract E. ( 0 . 3 miles out Tee Lake Road from Dewatto Bay Road ) Will be
staked and flagged.
Parcel Number: 32202-75-00050-
Legal Description: NE 1/4 , NE 1/4 Sec. 2 , T 22N, R 3W W.M.
A bond in the amount of $ 50 . 00 accompanies this permit .
Receipt Number: 13184 Check Number: 12028
Contractor : Guttormsen Bros .
Address : 14922 Goodrich Drive NW
City/St/Zip: Gig Harbor, WA 98329
Phone : 426-
Lic. Number: G=OBC151D Expires: 02/01/94
Specifications:
Access to be graveled to property line with 3" depth of dean gravel. Ctrvert to be aluminum, concrete or polyethylene.
Access will be staked and flagged by Permittee for pre-inspection. Ctdvert will lay in line of ditch.
Access will be pre-inspected by this office prior to installation. Culvert to be minimum of 12" diameter by 20' length.
Access installation shall be in accordance with county specifications.
Commercial/Muiti use access shall require STOP Signs, installed in conformance to the MUTCD manual, at intersection with county road.
No work shall be done under this permit until the party to whom it is
granted has communicated with and received instructions from the road
supervisor at: 427-9670 ext. 450 or at 1-800-562-5628 ext . 450 .
RESULTS OF SITE INSPECTION: See Attachment "A"
This permit shall be void and bond forfeited to Mason County unless the
work herein contemplated shall have been completed on or before:
19
Dated at Shelton, Washington, this day of 19
Issued by:
Title: